<p>
	<u>
		<span style="font-size:10.0pt">
			<span style="font-family:&quot;times new roman&quot;,serif">top line 1 of 1</span>
		</span>
	</u>
</p>
<p>
	<u>
		<span style="font-size:10.0pt">
			<span style="font-family:&quot;times new roman&quot;,serif">top line 2 sample ksajksa &nbsp;of 2</span>
		</span>
	</u>
</p>
<p>
	<u>
		<span style="font-size:10.0pt">
			<span style="font-family:&quot;times new roman&quot;,serif">top line 3 of 3 asnabsnabskajsasjkas asalksas </span>
		</span>
	</u>
</p>
<p style="text-align:left">
	<br />
</p>
<table cellspacing="0">
	<tbody>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">name: my name</span>
					</span>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p>
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">summary of address</span>
					</span>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p>
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="bottom">
				<p style="text-align:left">
					<strong>
						<span style="font-size:10.0pt">
							<span style="font-family:&quot;times new roman&quot;,serif">&nbsp;text in bold</span>
						</span>
					</strong>
				</p>
			</td>
			<td style="width:99.0pt" valign="bottom">
				<p>
					<em>
						<span style="font-size:10.0pt">
							<span style="font-family:&quot;times new roman&quot;,serif">date </span>
						</span>
					</em>
				</p>
			</td>
			<td style="width:13.5pt" valign="bottom">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="bottom">
				<p>
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">personal data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="bottom">
				<p>
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="bottom">
				<p>
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">2009 2008</span>
					</span>
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<em>
						<span style="font-size:10.0pt">
							<span style="font-family:&quot;times new roman&quot;,serif">&nbsp;sample italic text:</span>
						</span>
					</em>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p>
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p>
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">&nbsp;sample ( text )</span>
					</span>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">march 2008</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">$</span>
					</span>
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">[[federa.ukman(ro.2.1.5sdsd23)]]</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">$</span>
					</span>
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">20texedd (note a)</span>
					</span>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">january 2009</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">[[data(1234)]]</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">[[data2(ro.)]]</span>
					</span>
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">2008 tax, installment payment</span>
					</span>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">january 2009</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">[[fedrik.1stinsttaj(po.2.1.149)]]</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">[[fedoram.1stinsttax(ro.2.1.149)]]</span>
					</span>
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">some data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:justify">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p>
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">meddle data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">middle data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">side data</span>
					</span>
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<strong>
						<span style="font-size:10.0pt">
							<span style="font-family:&quot;times new roman&quot;,serif">in border content:</span>
						</span>
					</strong>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">sample text:</span>
					</span>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">payment</span>
					</span>
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">$</span>
					</span>
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">[[data data)]]</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
		</tr>
		<tr>
			<td style="width:311.4pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:99.0pt" valign="top">
				<p style="text-align:left">
					<br />
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:49.5pt" valign="top">
				<p style="text-align:right">
					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">middle data</span>
					</span>
				</p>
			</td>
			<td style="width:13.5pt" valign="top">
				<p style="text-align:right">
					<br />
				</p>
			</td>
			<td style="width:46.9pt" valign="top">
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						<span style="font-family:&quot;times new roman&quot;,serif">middle data</span>
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						<span style="font-family:&quot;times new roman&quot;,serif">middle</span>
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					<span style="font-size:10.0pt">
						<span style="font-family:&quot;times new roman&quot;,serif">c – last content hjhjj</span>
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